Please print the form below, complete and return to:
Fax: 704-233-8125 (No cover sheet required)
Mail:
Registrar
Wingate University
Campus Box 3031
Wingate, NC 28174
ADDRESS CHANGE
NAME: _______________________________________________________________
SOCIAL SECURITY #: ___________________________________________________
STUDENT ID #: ________________________________________________________
Old Address: __________________________________________________________
___________________________________________________________
New Address: __________________________________________________________
___________________________________________________________
County: _______________________________ Phone #: ________________________
Signature: _________________________________________ Date: _______________
NAME CHANGE
(Requires Social Security Card, Passport or Marriage License)
Old Name: _______________________________________________________________
New Name: ______________________________________________________________
Signature: _________________________________________ Date: _________________